Dr Lonnie Dale Penrod, MA, MSW, DMIN, LCSW is a
Social Worker - Clinical based in Indian Mound, Tennessee. Dr Lonnie Dale Penrod is licensed to practice in Tennessee (license number 6195) and his current practice location is
109 Rooster St, Indian Mound, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 980-4551.
NPI number for Dr Lonnie Dale Penrod is 1053992214 and his current mailing address is 109 Rooster St, Indian Mound, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053992214.
Healthcare Provider's Profile
| Full Name | Dr Lonnie Dale Penrod |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 109 Rooster St, Indian Mound, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053992214
- Provider Enumeration Date: 04/19/2021
- Last Update Date: 04/19/2021
Medical Identifiers
Medical identifiers for Dr Lonnie Dale Penrod such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053992214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 6195 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lonnie Dale Penrod is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lonnie Dale Penrod, MA, MSW, DMIN, LCSW
109 Rooster St,
Indian Mound, TN 37079-5302
Ph: (931) 980-4551 | Dr Lonnie Dale Penrod, MA, MSW, DMIN, LCSW
109 Rooster St,
Indian Mound, TN 37079-5302
Ph: (931) 980-4551 |
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